| Elm Psychotherapy Llc | |
|
0 Governors Ave Ste 24 Medford MA 02155-3097 | |
| (781) 862-4171 | |
| Not Available |
| Full Name | Elm Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 0 Governors Ave Ste 24, Medford, Massachusetts |
| Authorized Official Name and Position | Emily Stewart Macomber (OWNER) |
| Authorized Official Contact | 7818624171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Psychotherapy Llc 0 Governors Ave Ste 24 Medford MA 02155-3097 Ph: () - | Elm Psychotherapy Llc 0 Governors Ave Ste 24 Medford MA 02155-3097 Ph: (781) 862-4171 |
| NPI Number | 1679199012 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679199012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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